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Association of TNF-α and microRNAs expression with immune cell profiles and kidney function in women with urinary tract infection: A cross-sectional study

Wurood N. Nayyfa, Sahar M. Hussein

Ukrainian Journal of Nephrology and Dialysis, 2026

155 participants

Abstract

Urinary tract infection (UTI) is associated with inflammatory activation involving cytokines and microRNAs (miRNAs). However, the relationship between tumor necrosis factor-alpha (TNF-α), miRNA expression, immune cell profiles, and renal function remains unclear. The present study aimed to evaluate TNF-α, miR-125, and miR-155 expression in women with UTI and assess their association with immune cell profiles and kidney function.

Methods. This cross-sectional study included 123 women with culture-confirmed UTI and 40 healthy controls. Hematological and biochemical parameters were measured, and expression levels of TNF-α, miR-125, and miR-155 were assessed using qRT-PCR. Correlation analysis was performed to evaluate associations between molecular markers, immune cell profiles, and kidney function.

Results. TNF-α, miR-125, and miR-155 expression levels were all significantly higher in UTI patients compared with controls (all p 0.05).

Conclusions. TNF-α is associated with microRNA expression in UTI. microRNAs show stronger relationships with immune cell profiles, while neither TNF-α nor microRNAs is associated with kidney function.

How strong is the evidence?

Evidence Hub reads this as a cross-sectional, done in people. Its evidence level is 4 of 5 (Low · observational). Observational designs can show an association but not prove cause. Reported size: 155 participants or records.

How the five levels of evidence work. The level is assigned automatically from the abstract and can be wrong, so check the paper.

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